Документы и доклады

Venezuela - Caracas Metropolitan Health Services Project (Английский)

Аннотация

Ratings for the Caracas Metropolitan Health Services Project for Venezuela were as follows: outcomes were moderately unsatisfactory; the risk to development outcome was satisfactory; Bank performance was moderately satisfactory; and the Borrower performance... Подробнее +Ratings for the Caracas Metropolitan Health Services Project for Venezuela were as follows: outcomes were moderately unsatisfactory; the risk to development outcome was satisfactory; Bank performance was moderately satisfactory; and the Borrower performance was moderately unsatisfactory. Some lessons learned included: An adequate political climate is crucial for project success when there are many actors involved, particularly in a decentralization process. Although the project had a good start mobilizing resources and support from the municipalities involved in developing a decentralized system, further steps for implementing it were stalled by a mix of different approaches to resource allocations, but most importantly by the political climate that took place in Venezuela during most of the 2002-04 period. Different positions on how to implement a decentralized program became insurmountable and the project suffered from this struggle, leading to a sizable reduction in project scope. Although the participation of many political actors was acknowledged during appraisal as an important risk factor, it was not possible to have foreseen that. The political environment will make it impossible to implement a decentralized scheme as originally conceived. When supporting a decentralization process, project implementation is best placed as low as possible within the available institutional structure.
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